Also worth reading today--Julie Creswell's story in the New York Times about the profits being reaped by EHR vendors through government incentives. Creswell documents "soaring profits" and "Wall Street style" paydays in the wake of the stimulus package. One of her concerns is the extent to which larger--she argues, less innovative--companies have been able to crowd out smaller competitors, with the help of certification requirements. Ironically, innovation has been used as the primary argument for flexibility as the requirements for meaningful use phase in. It will be a shame if the promise of EHRs is another casualty of the role of profits in US health care.